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crrY or• t:vl;lar'r <br />(lf CO::'11311ITY IUiVIil.orllurr. <br />CONSTRUCTION PERMIT APPLICATION <br />PrilTlr'r 1,10, <br />DATE ISSUED <br />✓ VALUKrIO;I <br />PI-'I*lIT FEE <br />J v n r.. .` I to -12 <br />1 Id01:R �4 2o L�GF•�[(2S� <br />ADDRESS O: CON STUCTI0: —' <br />L1,Ci+L UESCRI)'TIQiI: LOT 944 <br />tsr.ocr. <br />UNPLATTE'D DESCRIPTION: <br />_�_—_------ <br />n <br />BUILDING DESCRIrr,04: A• U <br />A.DDITI:ON <br />P.EHOD1iL U)2c(Y.l- f� <br />or REPAL /✓U SNyik/ �1=}4C!2G(U' <br />. <br />' — <br />OCCUYABCY OR Lis). <br />_[ZfrC �LL2-•— <br />- <br />IN .ST.ORIES •___�I1�=-5 ��?C h-�'�"`C�C�=iC7 <br />IS THIS A CIIA.EGE <br />AIAI1,10 <br />GDLH:;,SS <br />ON BUILDTi 7 OCCUP.'i1Cy:' <br />_ <br />YES . <br />A nuvl:rDIIENG <br />ss <br />NO <br />NO - `-- <br />� o <br />, ���Qo3 <br />P110;:1; hUiI;L'P. <br />COaI'RLCfoR'S LTG ::SB NUtlulii: <br />P110r1E 1•;LR);D:R ��-.�C2:2�_—u_. . <br />V SIC': "'1URL `\.i` "� ��1`. —_-__— <br />r, 1'i.S;': �' Pi.I i I:LY II.�U./llI:!C T]iE PLOT .' .'.: <br />Tr. PILL I11 !,i .0i',- C_:' <br />NOT1i: . T!I'A )'L?:i..`1 r S:'., ri:' 'iC:'_;T' "LL Ii;0;:b1•?'iI0?i U;'1C%I <br />r. �, r�:: <br />SI:Ya:C.!i G;1 ?.+'. C'. 'i!iT5 L,'.ia O):"RUILDIL.. <br />IS Pl1i;iI. ll):D Gi: 'iH;i D.PrT:'((;':!:rf1 :. y/c•:)' Cli:.+i li i Iid Ti Ii . <br />r DIVISIO?' FO::BErO"' { P1:O(:EIiDI?:� <br />L)'; F.:'ii:d1.J'Tlib To •i Il I Sl;i(:1' 0: /J <br />UIYII Tilli CO:;S' i Ji7iIC:c 1.. !,. APPLICATION RECEIVED BY <br />Al'?kU'C1.L: <br />DATE <br />2, L'I,G11,:;a:R[LA <br />St!l ME :;1:I:VIC17 -- <br />/0117 Z. <br />3. .INSPisC'1'10*1 -- —__ <br />A1U'1'G: Am.CO;:;,'1'i;tICr70;; l{Ula; SHALT, CO:irrC VTTH AI'rLICAI LI�I¢Yh�> AND <br />E fiiT�N pI;A4;xNCS, <br />INSPC+:'1'LDtg; APPROVED FOR BUILDING PERMIT <br />Date /d�/%�%y Qy - , OKI/ . _ <br />